- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,277.00 / $40,250.30 / $49,683.00
| Facility | | $24,277.00 | $40,250.30 | $49,683.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27,506.09 / $41,639.18 / $58,731.17
| Facility | | $27,506.09 | $41,639.18 | $58,731.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,074.17 / $37,338.92 / $56,288.42
| Facility | | $26,074.17 | $37,338.92 | $56,288.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,312.00 / $43,554.00 / $58,345.00
| Facility | | $26,312.00 | $43,554.00 | $58,345.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $50,894.46 / $75,620.00
| Facility | | $5,274.00 | $50,894.46 | $75,620.00 |